A generic framework for the development of standardised learning objects within the discipline of construction management

E-learning has occurred in the academic world in different forms since the early 1990s. Its use varies from interactive multimedia tools and simulation environments to static resources within learning management systems. E-learning tools and environments are no longer criticised for their lack of use in higher education in general and within the construction domain in particular. The main criticism, however, is that of reinventing the wheel in order to create new learning environments that cater for different educational needs. Therefore, sharing educational content has become the focus of current research, taking e-learning into a whole new era of developments. This era is enabled by the emergence of new technologies (online and wireless) and the development of educational standards, such as SCORM (Sharable Content Object Reference Model) and LOM (Learning Object Metadata) for example. Accordingly, the broad definition of the construction domain and the interlocking nature of subjects taught within this domain, makes the concept of sharing content most appealing. This paper proposes a framework developed to describe the various steps required in order to enable the application of e-learning metadata standards and ontology for sharable learning objects to serve the construction discipline. The paper further describes the application of the proposed framework to a case study for developing an online environment for learning objects that are standardised, sharable, transparent and that cater for the needs of learners, educators and curricula developers in Construction Management. Based on the framework, a learning objects repository is developed incorporating educational and web standards. The repository manages objects as well as metadata using ontology and offers a set of services such as storing, retrieving and searching of learning objects using Semantic Web technologies. Thus, it increases the reusability, sharability and interoperability of learning objects

Double Trouble: Understanding co-occurring terrestrial and marine heat extremes

When two or more extreme events co-occur, we call them compound events. There is growing interest in such events because many types of extremes are becoming more frequent - giving rise to more compound events - and because compound events may have more impact than the sum of parts. The overall aim of this thesis is to provide a statistical characterisation and physical understanding of the mechanisms driving compound terrestrial and marine heat extremes. First, the relationship between adjacent coastal marine and THWs around Australia is quantified using observation and reanalysis data. A significant increase in the number of THW days is found in the presence of adjacent co-occurring marine heatwaves along the coastal belt of Australia. Moreover, synoptic conditions driving THWs, at three locations around Australia, are conducive to warming the ocean, which would increase the likelihood of a marine heatwave. However, the prior ocean state must also be conducive to reach marine heatwave conditions. These findings suggest that co-occurring terrestrial and marine heatwaves co-occur more frequently than chance would dictate, and that large scale synoptics may be favourable for both coastal terrestrial and marine heatwaves. Following this, the focus was shifted to a specific region to isolate the influence of a single marine heatwave event on terrestrial warming. The ocean off south-eastern Australia has recently experienced a string of major marine heatwaves including the 2015/16 Tasman Sea marine heatwave. This was an unprecedented event that lasted for over eight months. It is possible that marine heatwaves can enhance temperatures of adjacent coastal areas through mechanisms such as advection and local radiative changes. This hypothesis was tested by carrying out a large ensemble of simulations forced by the 2015/16 Tasman Sea sea surface temperature anomalies using a regional atmosphere model, and examining how this influenced land temperatures and local circulation. It was found that sea surface temperature anomalies drive seasonally dependent significant warming (up to 1°C), primarily in coastal southeast Australia, Tasmania, and New Zealand, from September to February. Most of the coastal warming is consistent with the advection of anomalous heat from the marine heatwave regions as opposed to local radiative effects or adiabatic heating. Terrestrial heat extremes are most dangerous to human health when combined with high relative humidity levels. Extreme heat stress from high heat and humidity, is increasingly becoming an issue in South Asia, the Middle East, and coastal southwest North America. These three regions are near high sea surface temperatures. While the initial components of the thesis focused on extreme temperature events, this final study investigated the combined effect of extreme heat during marine heatwaves. By using observation and reanalyses data for regions surrounding Mumbai, Karachi, Kuwait, Doha, Miami and New Orleans, a higher number of extreme heat stress days was found during marine heatwaves, compared to normal ocean conditions. Typically, onshore winds advect hot and humid air from marine heatwave regions to the adjacent coastal cities which can exacerbate the heat stress at these locations. It was also found that temperature contributes most to the heat stress metric over land while relative humidity tends to play a larger role over the ocean. These results show that regions which are already susceptible to high heat stress, are likely to experience more extreme heat stress events during a marine heatwave. This thesis has helped improve our understanding of compound extreme heat events including co-occurring marine/ THWs and marine heatwaves with extreme heat stress conditions. Compound extreme events are much less common than extremes in single variables and so have been harder to study. With anthropogenic global warming, these events will become more frequent making the study of compound events more relevant

Process evaluation of a randomised controlled trial of a pharmacological strategy to improve hypertension control: Protocol for a qualitative study

© 2018 Author(s) (or their employer(s)). Introduction Globally, the prevalence of uncontrolled hypertension is high, particularly in low- and middle-income countries. There is a critical need for strategies to improve hypertension control. The early use of a fixed low-dose combination of three antihypertensive drugs (triple pill) has the potential to significantly improve hypertension control. The TRI ple Pill vs. U sual care M anagement for P atients with mild-to- moderate H ypertension (TRIUMPH) randomised controlled trial (RCT) is designed to test the effects of this strategy compared with usual care in patients with mild-to-moderate hypertension. This paper reports the protocol of a process evaluation of the TRIUMPH RCT. The objectives are to understand factors related to implementation of the intervention, mechanisms of effect, contextual factors that underpin the effectiveness of the triple pill strategy and the potential barriers and facilitators to implementing the strategy in clinical practice. Methods and analysis Face-to-face semistructured in-depth interviews with a purposive sample of TRIUMPH RCT participants and healthcare professionals in Sri Lanka will be conducted. Healthcare professionals will include physicians and their staff who were involved in conducting the TRIUMPH RCT. Interviewees will be recruited sequentially until thematic saturation is achieved. Interviews will be audio recorded, transcribed verbatim and analysed in NVivo using framework analysis methods. Ethics and dissemination The TRIUMPH RCT and process evaluation have received approval from the relevant Ethics Review Committee. All participants will be asked to provide written consent before participation. Findings from the study will be disseminated through publications and conference presentations

An Investigation into the Barriers Facing Black and Minority Ethnics Within the UK Construction Industry

The UK construction industry is one of the largest employers, positioned as the country's top employer with over two million employees and projected to continue growth as far as 2011. However, it is facing ongoing skills shortages in a number of professional areas and tends to lack an ethnic diversity of workers compared to the White community of workers across the whole economy. The government’s Ethnic Minority Employment Task Force shows that for any given level of qualification, a Black or ethnic minority person is less likely to be employed, than a similarly qualified White person. Current research into issues surrounding ethnicity, from academia to employment is scarce, particularly in entry and process development within the construction industry. The aim of this paper is to outline the findings from perceptional and experiential barriers of Black and Minority Ethnics (BMEs) students and employees, in order to identify perceptional and actual barriers that lead to the under-representation of BMEs within the construction industry; and also to suggest how better knowledge flow mechanisms could lead to a more balanced development, particularly in terms of ethnic diversification in the UK construction industry. The aim was achieved by adopting qualitative and quantitative methods including questionnaire surveys of undergraduate students in a construction related programme, employees working within the construction industry and interviews with company directors and human resource managers. The image of the construction industry is found to be one of the major barriers for entry into the industry. Language and cultures form additional barriers for a range of ethnic groupings. Support, in the form of recruitment events, training, mentoring, professional networking, as well as work placement and experience schemes, can smooth entry, retention and progression within the construction industr

Impact of helminth infection on childhood allergic diseases in an area in transition from high to low infection burden

BACKGROUND: The effect of helminth infections on allergic diseases is still inconclusive. Furthermore, the effect of helminth infections on childhood allergic diseases in a tropical area where prevalence of helminth infections has undergone dramatic changes is not well documented. OBJECTIVE: To investigate the relationship between allergic diseases and helminth infection in a cohort of schoolchildren in an area that has undergone dramatic changes in intensity of helminth infections. METHODS: Children attending grade 5 were recruited from 17 schools in Western Province of Sri Lanka. They were assessed for allergic diseases using the International Study of Asthma and Allergies in Childhood questionnaire. Their serum total IgE (tIgE) and allergen-specific IgE (sIgE) for five common aeroallergens were measured by ImmunoCAP® method and stools were examined for the presence of helminth infections. RESULTS: A total of 640 children (mean age 10 years) were recruited to the study. Of them, 33.7% had evidence of allergic disease and 15.5% had helminth infections. Majority of infections (68.9%) were of low intensity. A significant relationship between allergic disease and helminth infections was not observed, however, a trend toward protective role of helminth infections against allergic diseases was noted. Multivariate analysis showed helminth infections to be an independent predictor of high tIgE levels whereas allergic disease was not. Allergic sensitization (atopy) was a significant risk factor for allergic disease only among non-infected children (odds ratio 3.025, p = 0.022) but not in infected children. The ratio of sIgE to tIgE was higher in non-infected children. CONCLUSION: Though not significant, a reduced risk of allergy in helminth-infected children was observed in this population. A Decrease in intensity of helminth infections may have contributed to the reduced capacity of immune-modulation by helminths in this paediatric population

Pathological Characteristics of Primary Bladder Carcinoma Treated at a Tertiary Care Hospital and Changing Demographics of Bladder Cancer in Sri Lanka

Objectives. The aim was to compare demographics and pathological features of bladder carcinoma treated in a urology unit with findings of previous studies done in Sri Lanka. Materials and Methods. Data of newly diagnosed patients with bladder cancer in a tertiary referral centre from 2011 to 2014 were analysed. Data on bladder cancers diagnosed from 1993 to 2014 were obtained from previous publications and Sri Lanka Cancer Registry. Results. There were 148 patients and mean age was 65 years. Male to female ratio was 4.1 : 1. Urothelial carcinoma (UC) was found in 89.2% of patients. Muscle invasion was noted in 35% of patients compared to 48.4% two decades ago. In patients with UC, 16.5% were found to have pT1 high grade tumour. It was 5.3% from 1993 to 2000. Pure squamous cell carcinoma was found in 8.1% of patients while primary or de novo carcinoma in situ (not associated with high grade pT1 tumours) was seen in one patient only. Conclusions. The percentage of squamous carcinoma is higher among Sri Lankan patients while primary carcinoma in situ is a rarity. The percentage of muscle invasive disease has decreased while the percentage of pT1 high grade tumours has increased during the last two decades in Sri Lanka

Measuring Antenatal Depressive Symptoms Across the World: A Validation and Cross-Country Invariance Analysis of the Patient Health Questionnaire-9 (PHQ-9) in Eight Diverse Low-Resource Settings

Measures that produce valid and reliable antenatal depressive symptom scores in low-resource country contexts are important for efforts to illuminate risk factors, outcomes, and effective interventions in these contexts. Establishing the psychometric comparability of scores across countries also facilitates analyses of similarities and differences across contexts. To date, however, few studies have evaluated the psychometric properties and comparability of the most widely used antenatal depressive symptom measures across diverse cultural, political, and social contexts. To address this gap, we used data from the Evidence for Better Lives Study—Foundational Research (EBLS-FR) project to examine the internal consistency reliability, nomological network validity, and cross-country measurement invariance of the nine-item version of the Patient Health Questionnaire (PHQ-9) in antenatal samples across eight low-resource contexts. We found that the PHQ-9 scores had good internal consistency across all eight countries. Correlations between PHQ-9 scores and constructs conceptually associated with depression were generally consistent, with a few exceptions. In measurement invariance analyses, only partial metric invariance held and only across four of the countries. Our results suggest that the PHQ-9 yields internally consistent scores when administered in culturally diverse antenatal populations; however, the meaning of the scores may vary. Thus, interpretation of PHQ-9 scores should consider local meanings of symptoms of depression to ensure that context-specific conceptualizations and manifestations of antenatal depressive symptoms are adequately reflecte

Measuring antenatal depressive symptoms across the world:A validation and cross-country invariance analysis of the patient health questionnaire-9 (PHQ-9) in eight diverse low-resource settings

Measures that produce valid and reliable antenatal depressive symptom scores in low-resource country contexts are important for efforts to illuminate risk factors, outcomes, and effective interventions in these contexts. Establishing the psychometric comparability of scores across countries also facilitates analyses of similarities and differences across contexts. To date, however, few studies have evaluated the psychometric properties and comparability of the most widely used antenatal depressive symptom measures across diverse cultural, political, and social contexts. To address this gap, we used data from the Evidence for Better Lives Study—Foundational Research (EBLS-FR) project to examine the internal consistency reliability, nomological network validity, and cross-country measurement invariance of the nine-item version of the Patient Health Questionnaire (PHQ-9) in antenatal samples across eight low-resource contexts. We found that the PHQ-9 scores had good internal consistency across all eight countries. Correlations between PHQ-9 scores and constructs conceptually associated with depression were generally consistent, with a few exceptions. In measurement invariance analyses, only partial metric invariance held and only across four of the countries. Our results suggest that the PHQ-9 yields internally consistent scores when administered in culturally diverse antenatal populations; however, the meaning of the scores may vary. Thus, interpretation of PHQ-9 scores should consider local meanings of symptoms of depression to ensure that context-specific conceptualizations and manifestations of antenatal depressive symptoms are adequately reflected.</p